Diagnosis in the field of psychotherapy: A plea for an alternative to the DSM‐5.x

Vanheule, Stijn

doi:10.1111/j.2044-8341.2012.02069.x

Cited by 24 publications

(16 citation statements)

References 43 publications

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“…This has become a widely promoted standard within evidence-based medicine [36,37], but is not without a growing number of critics [38], especially when it comes to conceptualising behavioral and psychological problems [39][40][41]. Critical to this perspective is the definition of problem behavior often in terms of pathologies, which result in what is therefore perceived as 'abnormal' behavior or 'behavior disorders'.…”

Section: Medical Approachmentioning

confidence: 99%

Perspectives on assessing the emotional behavior of animals with behavior problems

Mills

2017

Current Opinion in Behavioral Sciences

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The field of clinical animal behavior has a growing scientific basis, with three main paradigms having different perspectives on the assessment of animal emotion. The Behavioral approach, grounded in classical behaviorism, makes little reference to emotion in assessment, despite covert recognition of its importance. The Medical approach, drawing on human psychiatric approaches, emphasizes the importance of physical evidence (behavior descriptions and physiological parameters) for validation of diagnoses centred on abnormality and disorder. The more recent Psychobiological approach synthesizes affective neuroscience, ethology and psychology to propose a systematic and rational framework for making inferences about emotion, that result in the construction of testable (falsifiable) hypotheses relating to four domains derived from component process theory using field-based evidence.

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Section: Medical Approachmentioning

confidence: 99%

Perspectives on assessing the emotional behavior of animals with behavior problems

Mills

2017

Current Opinion in Behavioral Sciences

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“…Meanwhile, the pharmaceutical industry now spends twice as much on marketing its products as it does on research to prove their efficacy (Goldacre ) and a further strong wave of medicalisation has been evident throughout the ongoing development of DSM‐V (Vanheule ).…”

Section: Subjugation Of Nurses Within the Psychiatric Regimementioning

confidence: 99%

Towards an understanding of the dynamic sociomaterial embodiment of interprofessional collaboration

2015

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Many notions of inter-professional collaboration appear to aim for the ideal of trouble free co-operative communication between healthcare professionals. This paper challenges such an ideal as too far removed from the complex and contested relations of power that characterise the albeit skilful everyday social interactions which take place within healthcare practice, along with the associated pragmatic compromises made by disempowered practitioners. It is noted that these may be facilitated by modes of comforting myth and denial. To underline this point, psychiatric illness diagnosis is used as an illustrative example of how a historically powerful societal discourse can become thoroughly entrenched. The influence of a paradigmatically dominant discourse is shown to extend beyond the repetition of narrative within open dialogue and debate, to continue as tacitly reflected patterns within unconsciously habituated behaviour and durable artefacts that crystallise future affordances and limitations on action. However, the authors conclude by introducing optimistic theoretical speculation around the dynamic social mechanics of reflexive awareness and creativity, as these emerge within moments of significant dissonance between dialectically interacting layers of individually internalised and contextually embedded discourse, conversation and direct experience.

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“…For this decoding process to be successful it is crucial that the receiver possesses the code whereby the signifiers can be linked to the correct referent. In psychiatric diagnostics, as performed within DSM, the handbook with its list of disorders and their criteria make up such code (Vanheule, 2012).…”

Section: Sign-based Diagnosismentioning

confidence: 99%

Diagnosis and the DSM

Vanheule¹

2014

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Diagnosis in the field of psychotherapy: A plea for an alternative to the DSM‐5.x

Cited by 24 publications

References 43 publications

Perspectives on assessing the emotional behavior of animals with behavior problems

Perspectives on assessing the emotional behavior of animals with behavior problems

Towards an understanding of the dynamic sociomaterial embodiment of interprofessional collaboration

Diagnosis and the DSM

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